Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy
The purpose of the study was to compare the possibility of rapid activation of elderly patients after carotid endarterectomy performed under sevoflurane- or desflurane-based anesthesia. Materials and methods. 67 patients aged 75 to 89 years divided into two groups were examined. To maintain anesthes...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2019-03-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/1733 |
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| author | V. A. Aliev A. G. Yavorovskii A. A. Shaposhnikov I. Zh. Loriya M. S. Vetsheva |
| author_facet | V. A. Aliev A. G. Yavorovskii A. A. Shaposhnikov I. Zh. Loriya M. S. Vetsheva |
| author_sort | V. A. Aliev |
| collection | DOAJ |
| description | The purpose of the study was to compare the possibility of rapid activation of elderly patients after carotid endarterectomy performed under sevoflurane- or desflurane-based anesthesia. Materials and methods. 67 patients aged 75 to 89 years divided into two groups were examined. To maintain anesthesia, desflurane was used in the 1st group and sevoflurane was employed in the 2nd group. Results. Patients from the group receiving desflurane, experienced decreased ability to take a sip of water and to hold oneself in a sitting position, and were characterized by decreased time before the tracheal extubation. Conclusion. Desflurane-based anesthesia provided faster awakening and activation of elderly patients after carotid endarterectomy than the anesthesia with sevoflurane, which allowed to implement the fast-track recovery protocol. In addition, the desflurane-based anesthesia provided excellent manageability and less negative impact on the hemodynamics (within the drug concentration range of up to 1.3 MAC). |
| format | Article |
| id | doaj-art-0664f010b05b4f15b8d8fdd1716fccee |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-0664f010b05b4f15b8d8fdd1716fccee2025-08-20T03:18:49ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102019-03-01151273810.15360/1813-9779-2019-1-27-381673Comparative Evaluation of Modern Inhalation Anesthetics in Carotid EndarterectomyV. A. Aliev0A. G. Yavorovskii1A. A. Shaposhnikov2I. Zh. Loriya3M. S. Vetsheva4I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; GMS Clinic and HospitalsI. M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaI. M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaI. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; GMS Clinic and HospitalsI. M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaThe purpose of the study was to compare the possibility of rapid activation of elderly patients after carotid endarterectomy performed under sevoflurane- or desflurane-based anesthesia. Materials and methods. 67 patients aged 75 to 89 years divided into two groups were examined. To maintain anesthesia, desflurane was used in the 1st group and sevoflurane was employed in the 2nd group. Results. Patients from the group receiving desflurane, experienced decreased ability to take a sip of water and to hold oneself in a sitting position, and were characterized by decreased time before the tracheal extubation. Conclusion. Desflurane-based anesthesia provided faster awakening and activation of elderly patients after carotid endarterectomy than the anesthesia with sevoflurane, which allowed to implement the fast-track recovery protocol. In addition, the desflurane-based anesthesia provided excellent manageability and less negative impact on the hemodynamics (within the drug concentration range of up to 1.3 MAC).https://www.reanimatology.com/rmt/article/view/1733carotid endarterectomycognitive functionatherosclerosiscarotid arterysevofluraneaccelerated recovery programfast track |
| spellingShingle | V. A. Aliev A. G. Yavorovskii A. A. Shaposhnikov I. Zh. Loriya M. S. Vetsheva Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy Общая реаниматология carotid endarterectomy cognitive function atherosclerosis carotid artery sevoflurane accelerated recovery program fast track |
| title | Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy |
| title_full | Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy |
| title_fullStr | Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy |
| title_full_unstemmed | Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy |
| title_short | Comparative Evaluation of Modern Inhalation Anesthetics in Carotid Endarterectomy |
| title_sort | comparative evaluation of modern inhalation anesthetics in carotid endarterectomy |
| topic | carotid endarterectomy cognitive function atherosclerosis carotid artery sevoflurane accelerated recovery program fast track |
| url | https://www.reanimatology.com/rmt/article/view/1733 |
| work_keys_str_mv | AT vaaliev comparativeevaluationofmoderninhalationanestheticsincarotidendarterectomy AT agyavorovskii comparativeevaluationofmoderninhalationanestheticsincarotidendarterectomy AT aashaposhnikov comparativeevaluationofmoderninhalationanestheticsincarotidendarterectomy AT izhloriya comparativeevaluationofmoderninhalationanestheticsincarotidendarterectomy AT msvetsheva comparativeevaluationofmoderninhalationanestheticsincarotidendarterectomy |